Pneumothorax with Major Complications — what U.S. hospitals charge
MS-DRG 199 · Inpatient stay · 86 U.S. hospitals publish a price
Cheapest quarter
under $49,976
Typical charge
$79,715
Dearest quarter
over $112,813
Actually paid
$18,167
The middle U.S. hospital bills $79,715 for Pneumothorax with Major Complications. The dearest hospitals charge about 4.9x what the cheapest do for the same coded work. Medicare actually paid about $18,167 per case.
These are charges, not quotes. What you pay depends on your insurance and your own case. The figures matter because the charge is where an uninsured or out-of-network bill starts.
Pneumothorax with Major Complications cost by state
The middle charge in each state where at least three hospitals publish a price, cheapest first.
| State | Hospitals | Typical charge | Range |
|---|---|---|---|
| Maryland | 3 | $20,905 | $16,127 – $25,032 |
| Minnesota | 3 | $49,080 | $49,036 – $55,211 |
| Massachusetts | 7 | $49,707 | $26,397 – $98,619 |
| Kansas | 4 | $77,300 | $50,782 – $153,697 |
| Florida | 9 | $83,091 | $40,138 – $233,605 |
| Nevada | 3 | $93,879 | $93,478 – $158,482 |
| Virginia | 4 | $94,573 | $37,908 – $134,217 |
| Tennessee | 4 | $97,039 | $47,769 – $163,081 |
| Indiana | 3 | $100,499 | $52,097 – $108,842 |
| Pennsylvania | 4 | $108,917 | $89,806 – $171,285 |
| Texas | 5 | $123,605 | $84,219 – $225,098 |
| California | 6 | $133,312 | $63,068 – $315,867 |
| New York | 5 | $154,412 | $33,524 – $198,623 |
Where Pneumothorax with Major Complications is charged least
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Tidalhealth Peninsula Regional, Inc
Salisbury, MD |
$16,127 | $14,455 |
|
Suburban Hospital
Bethesda, MD |
$20,905 | $18,647 |
|
University Of Md Baltimore Washington Medical Center
Glen Burnie, MD |
$25,032 | $23,325 |
|
South Shore Hospital
South Weymouth, MA |
$26,397 | $15,470 |
|
Baystate Medical Center
Springfield, MA |
$27,839 | $19,841 |
|
Mercy Hospital Fort Smith
Fort Smith, AR |
$28,938 | $13,387 |
|
Bayhealth Medical Center, Kent Campus
Dover, DE |
$31,751 | $13,898 |
|
Sanford Medical Center Fargo
Fargo, ND |
$31,895 | $14,515 |
|
Ascension St John Medical Center
Tulsa, OK |
$32,445 | $14,358 |
|
Albany Medical Center Hospital
Albany, NY |
$33,524 | $19,065 |
|
Inova Fairfax Hospital
Falls Church, VA |
$37,908 | $15,323 |
|
Cleveland Clinic Indian River Hospital
Vero Beach, FL |
$40,138 | $12,565 |
Where it is charged most
Hospitals that performed it at least eleven times, so a single case cannot set the figure.
| Hospital | Charged | Actually paid |
|---|---|---|
|
Cedars-Sinai Medical Center
Los Angeles, CA |
$315,867 | $23,340 |
|
Delray Medical Center
Delray Beach, FL |
$233,605 | $11,057 |
|
Scripps Memorial Hospital La Jolla
La Jolla, CA |
$230,898 | $16,494 |
|
Hca Florida Lawnwood Hospital
Fort Pierce, FL |
$229,718 | $14,994 |
|
Hca Houston Healthcare Kingwood
Kingwood, TX |
$225,098 | $15,295 |
|
New York-Presbyterian Hospital
New York, NY |
$198,623 | $40,376 |
|
Lehigh Valley Hospital
Allentown, PA |
$171,285 | $26,946 |
|
Nyu Langone Hospitals
New York, NY |
$170,253 | $27,143 |
|
Tristar Skyline Medical Center
Nashville, TN |
$163,081 | $13,659 |
|
Sunrise Hospital And Medical Center
Las Vegas, NV |
$158,482 | $17,504 |
|
University Hospital S U N Y Health Science Center
Syracuse, NY |
$154,412 | $20,976 |
|
Wesley Medical Center
Wichita, KS |
$153,697 | $20,204 |
Questions people ask
What do U.S. hospitals charge for Pneumothorax with Major Complications?
Across 86 U.S. hospitals, the middle charge for Pneumothorax with Major Complications is $79,715. Half of hospitals charge less than that and half charge more. The cheapest quarter charge under $49,976 and the dearest quarter over $112,813.
Why do hospitals charge such different amounts for the same procedure?
Because a hospital charge is a list price it sets itself, not a regulated rate. For Pneumothorax with Major Complications, the hospitals in the dearest tenth charge about 4.9x what the cheapest tenth charge for the same coded work. Insurers negotiate their own rates from those lists, which is why the charge and what is actually paid can be very far apart.
Is that what I would actually pay?
No. $18,167 is roughly what Medicare actually paid per case, against an average charge of $88,934. If you have insurance, your plan pays a negotiated rate and you pay your deductible and coinsurance. If you are uninsured or out of network, the hospital's charge is where your bill starts — which is why the gap matters. Ask for a written good-faith estimate before treatment.
What this code covers
CMS records this work as MS-DRG 199: “PNEUMOTHORAX WITH MCC”. A DRG covers a whole inpatient stay rather than a single item, so the charge includes the room, the procedure and the care around it. Codes that mention complications carry a different, usually higher price.